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Jay Ezra Haggerty, MD
Diagnostic Radiology Physician in Roseville, Minnesota
NPI 1861784589

Jay Ezra Haggerty is a Diagnostic Radiology Physician based in Roseville, MN and is specialized in Diagnostic Radiology. Jay Ezra Haggerty practices in Roseville, MN and has the professional credentials of MD. The NPI Number for Jay Ezra Haggerty is 1861784589 and holds a License No. PG154676 (Minnesota).

The current practice location address for Jay Ezra Haggerty is 2355 Highway 36 W Ste 100, Roseville, MN and can be reached out via phone at 651-292-2000.

Location: 2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861784589
Provider Name
Jay Ezra Haggerty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Phone Number
651-292-2000
Fax Number
Provider Enumeration Date
05/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61545 01 MN MD LICENSE
institution
Provider Business Practice Location Address Details
Address
2355 Highway 36 W Ste 100
City
Roseville
State
Minnesota
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2355 Highway 36 W Ste 100
City
Roseville
State
Minnesota
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
61545 (Minnesota)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
PG154676 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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